Healthy Eating for Healthy Eating for ChildrenChildren

Healthy Eating for Healthy Eating for ChildrenChildren

Enrique Saguil, MDEnrique Saguil, MDwww.herbal411.comwww.herbal411.com

Swine Flu (h1n1) =pandemic

Obesity =epidemic….

H1N1 deaths

Deaths from “other stuff”in the US

1. Diseases of the heart 615,6512. Malignant neoplasms 560,1873. Cerebrovascular diseases 133,990

7. Diabetes 70,905

Obesity in the US• 72 million people• 1/3 of all adults (doubled in 80’s)• 1/5 of all children (tripled since

80’s)• 5-17 y/o -70% = 1 risk factor for

cardiov -39% = 2 risk factors ^

Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1990

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1995

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1997

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. AdultsBRFSS, 2000

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. AdultsBRFSS, 2001

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. AdultsBRFSS, 2003

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. AdultsBRFSS, 2004

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. AdultsBRFSS, 2005

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2007

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2008

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 2008

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

What does this mean?• Current parents will outlast kids in the

next 3-4 decades

Diabetes complications Heart disease complications Cancers Strokes New generation will be the burden of our society

What is obesity?

• BMI of 25-29 (body mass index)=adults

• At of above the 95% for sex sp BMI=children

Formula:• BMI = [             Weight in Pounds             ] x 703 (Height in inches) x (Height in inches)

example: 37lbs x 703 = (47x47)

37lbs x 703 = 2209

0.0167496 x 703 = = 11.8

Healthchartsforyou.com

Kidshealth.org• http://kidshealth.org/parent/food/weight/bmi_c

harts.html

enter -sex -birth month and year -height and weight -click enter -get percentage scale and graph

Picky eatersHabits start from infancy:Stay at home dads, daycareColic painLactose intolerantSoy sensitiveNipple confusion …..breast intolerant?

Expectations vs Experimentation

• Milk = white• Stage 1 = white or beige • Stage 2 = above occ. green or

orange• Childhood, preteen, teen = white,

beige -french fries, bread, cheese,

mcanything

Patience patients• Adults like feasting and advertisements• Treat the introduction to kids the same

way• Become “adventuresome”….Nancy Piho• Repetitive exposures (15x)• Positive comments• Start young and offer wide ranges of

temps and textures (no hot or spicy)

See what the child wants

• Never an urgency to “go solid”• Rice meal usually at 4 months….try cooked

veg or fruit (plants usually carry enzymes)• Hold on milk and dairy with family hx• Watch the choking hazards (chunks, hard

food, beans, corn, raisins..wait for molars)• Don’t run with scissors! (or food)

Still ok to feast• …..Rick Bayless• Caution especially in genetic

predisposition and environment (Pima Indians)

• With parents and children there has to be balance in feast and famine…..

…….study, play, exercise, computer, veggie/fruit, meat, junk/comfort, growth

Glycemic index• Measurement for carbohydrates• Based on absorption of glucose • Low good, hi bad

• Fast rise in sugar = redbull, amp, fullthr• Ask grandma if she enjoyed menopause

Johanna Burani, MS, RD, CDEAmerican Diabetes AssociationSouthern Regional Conference

Marco Island, FloridaMay 26, 2006

Practical use of the glycemic index

GI• Low= 0-55

• Moderate= 56-69

• High= 70 and above

Drop off is hunting time

Glycemic Index (GI): Sample Graphs

Adapted from Good Carbs Bad Carbs Reprinted courtesy of Marlowe & Company.

Science break time!!• Candace Pert -Molecules of Emotion• Neurotransmitters in all cells• Eat, digest, relax, parasympathetic build, store, procreate!, (feel good.)• Think better throughout the day• Stress not as bad• Thinking clearer, more productive -(charlton heston)

Vs!• Fight or flight• Adrenaline, norepinephrine• Get away sabertooth guy! (ultraman)• Crash fast at the expense of

depleateing glycogen stores

• Hunt for Replenishment!

Feast hormones can be bad!

• The hunt hormones can lead you down a dark alley

• Runners carb up • Teens bing for more bull, throttle,

mickey, king…..• Which make you peak again and

soon hunt again….etc, etc ……..….obesity

Pictures of Low/High GI Meals &

Snacks

GI = 60 GL = 48 GI = 42 GL = 31

Pictures of Low/High GI Meals & Snacks

GI = 85 GL = 48 GI = 39 GL = 22

Pictures of Low/High GI Meals & Snacks

GI = 83 GL = 19 GI = 14 GL = 1

Pictures of Low/High GI Meals & Snacks

GI = 80 GL = 32 GI = 61 GL = 12

Pictures of Low/High GI Meals & Snacks

GI = 57 GL = 31 GI = 32 GL = 16

Glycemic load• Gi for overall amount in a meal incorporates complexity of food mix of carb, fat and protein volume of food types

request a visit with a registered dietician!

NuVal• David Katz, MD• 1-100• Looks for overall nutrition• Independent evaluation• Available at Meijer!

• http://www.nuval.com/

Look for the Hexagon!

Activity • David Katz …Activity Bursts in the

Classroom …..ABC’s

• More exercise less ritalin!

• http://www.davidkatzmd.com/abcforfitness.aspx

Yoga and children

• First get mom and dad in• Sky yoga naperville• Universal yoga naperville

“Neuroendocrine parasympathetic

stroking”• Don’t go to the grocery hungry• Don’t wait to fix that leak• Don’t marry because your 30• Please the mind, calm the fire,

sequester the “hunt”

Family eating• Timing• Fun• Preparation involvement

(sort,color,wash)• Start early, add music• No text or tv• Ritualize (huddle?)

Nature deprived• Stimulate the brain and get away

from microwaves• Calm and increase serotonin,

oxytocin, dopamine• Avoid the bulls, throttles, mickey,

kings and center isles

Side bar: teens• Things probably compounded• Think of the chronic pain patient in

an insurance based world• Shrek says Ogres are like onions:

lots of layers• So take caution with the layers in a

teen and restrain the “sabertooth”

Nutritional depeation, allergies to food

• Low vit D causes bone pain, fms, crps thus person is probably hooked on fast

answers, (drugs, cigs, food)• Allergy to foods… wheat, milk will also

make a person feel depleated and intolerable and hook them on fast answers

Specialized tests• Spectracell intracellular nutrient• Immunolabs blood allergy panel• Labrix hormone analysis• Doctors data environmental toxin

Get help• Know thy opponent

Thanks for listening!